Individual
JENNIFER QUEALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
60 CHASE ST, SOUTH PORTLAND, ME 04106-3931
(207) 329-3769
Mailing address
60 CHASE ST, SOUTH PORTLAND, ME 04106-3931
(207) 329-3769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4650
ME
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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